CLIENT REFERRAL FORM

Thank You for Considering 5 Star Cares!

We offer a wide range of services across various regions and tailor them to meet the specific needs of each referral. The diversity of our services gives new referrals a variety of options to choose from. Please visit the vacancy section of our website to see the current openings, and keep in mind that we are continuously developing new provider homes, some of which may not yet be listed.

To process new referrals, Five Star Cares will need to gather the following documentation from the case manager or support coordinator assigned to the individual:

  • Psychological Evaluation
  • Current Physical/Medication List (doctor’s orders required before services start)
  • Supports Intensity Scale (SIS)
  • Risk Assessment
  • VIDES
  • Person-Centered Plan

Additional Services – Our Admissions Coordinators offer New Provider Orientation training, assist potential Sponsored Residential Providers, and attend service fairs or speak at events to further support our community.

Why Refer to 5 Star Cares?

  • Experienced, Person-Centered Leadership
    For over 20 years, Five Star Cares has been committed to delivering services that focus on the needs and preferences of individuals and their families, ensuring a person-centered approach to care.
  • Wide Range of Service Locations
    With many service options across the state, Five Star Cares is ready to meet various needs. We also offer tailored services designed specifically for each individual, supported by our team of professional and well-trained Family Providers.
  • Thorough Supervision and Support
    Families can be confident that their loved ones are receiving quality care as we conduct regular reviews of all services. Our Program Management staff conducts unannounced visits twice a year and scheduled visits monthly. We work closely with families, case managers, and other service providers to ensure success.
  • Encouraging Family Engagement
    We encourage families to stay connected with those receiving services, whether through visits, phone calls, letters, pictures, or even Skype when visits aren’t possible.
  • 24-Hour Emergency Support
    Our Quality Assurance Team and Regional Coordinators are available around the clock to help providers address critical incidents. In case of a medical emergency, all staff are trained to contact local emergency services immediately.
  • Accurate and Timely Documentation
    We ensure that all documentation is thorough and up-to-date. Quarterly reports are provided to Support Coordinators and decision-makers, detailing medical appointments and their outcomes, so everyone stays informed.

Admissions Process

  1. Initial Meeting
    Our admissions team schedules a meeting with the referral to discuss their needs and preferences for placement.
  2. Provider Selection
    After the meeting, we identify potential providers that align with the referral’s preferences and needs.
  3. Provider Home Tours
    We schedule tours of selected provider homes so the referral and their family can meet the provider and learn about the service.
  4. Trial Visit
    Once a service is chosen, we schedule a trial visit, allowing the referral to stay with the provider for a few days to evaluate the fit.
  5. Service Plan Development
    Following the trial visit, we begin developing the service plan and set a start date for the service.

This process is flexible and can be completed as quickly as necessary to meet the referral’s timeline.